How to get rid of spider veins for good?

How to get rid of spider veins for good?

Spider veins, medically known as telangiectasias, are web-like clusters of damaged blood vessels on the skin. They appear as thin red, blue, or purple lines branching out from a central point, forming a spider-like structure. Women are four times more likely to develop spider veins than men, mostly due to the action of female hormones.

Why do they appear? Science and medicine still don’t have a clear answer to that. However, we know that there’s a very strong genetic predisposition to developing spider veins.

About 22.9% of patients with spider veins have some degree of venous insufficiency, but telangiectasias are fairly common in people without venous issues too. [1] That’s why, currently, there’s no clear way of preventing spider veins, as even people in top health can develop the condition.

In most cases, spider veins aren’t accompanied by other local symptoms. In some people, they may cause pain and aching. This depends on a range of factors, including skin sensitivity, hormonal changes, and even hot weather.

But overall, this issue is usually painless and rarely leads to complications on its own. If that’s the case, why do so many people search for how to get rid of spider veins?

It’s a matter of feeling comfortable in your own body.

Mostly harmless from a physical perspective, spider veins can bring a lot of psychological pain. Since telangiectasias most often appear on the legs and face, it’s perfectly natural that many people feel ashamed of how they look and prefer to hide these areas. Concealing makeup and longer clothes may seem like a short-term solution, but these strategies never fully solve the issue. Some people try applying topical creams to alleviate varicose veins and spider veins. The scientific evidence on their effectiveness is mixed at best.

Well, here’s some good news: in this article, we’ll cover some of the most effective strategies regarding how to get rid of spider veins. Modern treatments can cure some clusters of spider veins in a single session!

Treatment Options: How to Get Rid of Spider Veins for Good?

The optimal treatment strategy will depend on the location, size, and severity of the spider veins. That’s why it’s so important to consult with a professional phlebologist (vein doctor) before choosing the best approach.


Sclerotherapy is usually the first-line treatment for spider veins on the legs. [2]

Using ultrasound imaging, your phlebologist will identify the source of the vessel cluster. After that, a sclerosant solution is injected directly into the target vessel. As a result, blood doesn’t fill the spider veins, and they become significantly less visible.

How effective is sclerotherapy?

Results vary depending on the size and severity of the condition. Studies report that most patients experience a 50% to 84% improvement after a single session. [3]

Sclerotherapy comes with very minor side effects, mostly limited to local redness (erythema) or bruising that resolves within a few weeks. Some people may also notice matting, flushing, or pigmentation on the skin. In most cases, all side effects resolve with time.

Laser Treatment

When considering how to get rid of spider veins on the face, laser treatment is usually the preferred strategy. In a nutshell, the procedure involves your phlebologist using a handheld laser to seal the affected blood vessels.

Sounds simple? In reality, it’s a real art.

The effectiveness of laser treatment is based on matching the type of laser to the color of the spider veins, also taking into account the tone of your skin in general.

For example, some lasers are more suitable for patients with darker skin, others tend to work better on a particular color of blood vessels. Choosing the right laser ensures that only the affected veins are closed shut, without any damage to the surrounding area. That’s what makes laser therapy such a great choice for treating spider veins on the face.

Lifestyle Modifications

Even though spider veins can appear in people with overall healthy vein function, the condition is still classified as the initial stage of venous disease (C1 on the CEAP scale). [4]

That’s why adopting a few lifestyle modifications to preserve and improve venous function is still recommended for everyone dealing with the condition. These changes aren’t a definitive answer to the question of how to get rid of spider veins, but they may help to prevent new clusters from appearing.

Here are some options to consider:

  • Quit smoking and/or vaping. The nicotine and other compounds present in tobacco products and vaping devices can damage the blood vessels, impairing their structure and function.
  • Stay active throughout the day. Avoid long periods of uninterrupted sitting or standing, as they cause the blood to pool in your legs and increase the pressure in your veins, deforming them from the inside. This is more important for varicose veins than spider veins, but in some people these processes develop together.
  • Keep an eye on your body weight. Excess weight is a major risk factor for venous disease overall and spider veins on the legs specifically.

Choosing the Right Treatment

Spider veins may seem like a minor issue, but they still deserve the utmost care, attention, and personalised approach. Working with an experienced vein doctor is essential to achieve the best cosmetic results and make sure that there are no serious problems behind the tiny web of visible blood vessels.

Here are some factors that your phlebologist will take into account before choosing how to get rid of spider veins in your case.

  • Severity and location of the process. For example, sclerotherapy is rarely used to treat spider veins on the face.
  • Patient preferences. Some people have a fear of needles and injections. In such cases, laser treatment may be the preferred approach.
  • Medical history. Your phlebologist may ask if you have any allergies to pick the optimal type of sclerosant for sclerotherapy. Getting some information on the effectiveness of previous treatments will also help to choose the best strategy moving forward.
  • Additional signs and symptoms. Some of them may include swelling, fatigue, or a feeling of tingling in the feet. These may indicate that the spider veins are a sign of a deeper process in your veins.

Keep in mind that the human body is a delicate and complex system. All of its components and processes are intricately connected. Even seemingly harmless issues like spider veins should never be underestimated.

That’s why ultrasound imaging is so important during the initial consultation with your phlebologist. It’s quick, painless, and helps to pinpoint the root cause of the process. Achieving the best results is possible only by closing the root vessel that branches out into thin spider-like lines. Failing to do so is likely to result in a recurrence of the spider veins.

How to Keep Spider Veins from Recurring

Getting rid of spider veins is just the start of the quest. Ideally, both you and your phlebologist want to prevent them from appearing again. There are two essential requirements to achieve this.

First, you have to work together with your vein doctor to identify all the details of the process. This will help to achieve the best possible results after a single session of treatment. If needed, additional sessions should be planned depending on the degree of improvement.

After that, the goal is to implement lifestyle changes to support your overall venous function. Depending on your general health, medical history, and family history, these changes may be limited to dietary recommendations or regular physical activity. In some other cases, your doctor may recommend wearing compression socks or stockings.

Both sclerotherapy and laser treatment for spider veins are very quick. One session usually lasts 10 to 30 minutes, and the initial results are immediate. Over the next weeks after that, some of the blood vessels in the treated cluster will gradually fade away.

You may experience some local redness and mild discomfort after the treatment, but they usually go away within a few days or weeks. Booking a consultation with your doctor 2-4 weeks after the initial session is a great way to evaluate the progress and plan your future steps if required.

Did we manage to give you a comprehensive overview of spider veins and how to deal with them? Is there anything else that you’d like to learn?

If you have any other questions on how to get rid of spider veins, book a call with our team today! We’ll be happy to help with any doubts whatsoever.

Scientific references:

1 – Thibault PK, Lewis WA. Recurrent varicose veins. Part 1: Evaluation utilizing duplex venous imaging. J Dermatol Surg Oncol. 1992;18(7):618-624. doi:10.1111/j.1524-4725.1992.tb03516.x

2 – Sandean DP, Winters R. Spider Veins. [Updated 2023 Jul 4]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2023 Jan-.

3 – Mujadzic M, Ritter EF, Given KS. A Novel Approach for the Treatment of Spider Veins. Aesthet Surg J. 2015;35(7):NP221-NP229. doi:10.1093/asj/sjv004

4 – Eklöf B, Rutherford RB, Bergan JJ, et al. Revision of the CEAP classification for chronic venous disorders: consensus statement. J Vasc Surg. 2004;40(6):1248-1252. doi:10.1016/j.jvs.2004.09.027

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